Goshen Health Surgery Center
Goshen Health Surgery Center in Goshen, IN publishes cash prices for 93 common procedures listed here, from its own machine-readable price file updated Aug 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 71 of 93 procedures and above it for 18. Select a procedure to compare it with other hospitals nearby.
1605 Winsted Drive, , Goshen, IN 46526 Collected Sep 22, 2026 Source price file Check a bill from this hospital
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 31% below | 30% |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 31% below | 30% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Acl reconstruction | $11,017.30 | $15,739.00 | $4,499.61–$22,981.48 | 45% below | 30% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery | $11,017.30 | $15,739.00 | $4,499.61–$22,981.48 | 45% below | 30% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Shoulder arthroscopy rcr | $8,311.80 | $11,874.00 | $3,393.01–$22,981.48 | 51% below | 30% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr | $8,311.80 | $11,874.00 | $3,393.01–$22,981.48 | 51% below | 30% |
| Balloon dilation of the maxillary sinus opening, one side both sides CPT 31295 Endoscopic maxillary dilat bi | $7,175.00 | $10,250.00 | $2,376.00–$22,351.99 | — | 30% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nsl/sins ndsc surg max sins | $7,175.00 | $10,250.00 | $2,376.00–$22,351.99 | 226% above | 30% |
| Balloon dilation of the maxillary sinus opening, one side one side CPT 31295 Endoscopic maxillary dilat rt | $7,175.00 | $10,250.00 | $2,376.00–$22,351.99 | 226% above | 30% |
| Balloon dilation of the maxillary sinus opening, one side one side CPT 31295 Endoscopic maxillary dilat lt | $7,175.00 | $10,250.00 | $2,376.00–$22,351.99 | 226% above | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture | $547.40 | $782.00 | $122.33–$1,032.00 | 40% above | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture | $397.60 | $568.00 | $122.33–$1,032.00 | 9% below | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction hallux valgus | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | 42% below | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Chevron bunionectomy | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | 42% below | 30% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Keller/mcbride/mayo procedure | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | at median | 30% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | at median | 30% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel | $2,199.40 | $3,142.00 | $897.79–$6,184.56 | 53% below | 30% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $2,199.40 | $3,142.00 | $897.79–$6,184.56 | 53% below | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision age >28 days | $3,471.30 | $4,959.00 | $929.90–$6,620.55 | 35% below | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older | $3,471.30 | $4,959.00 | $929.90–$6,620.55 | 35% below | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block | $3,471.30 | $4,959.00 | $929.90–$6,620.55 | 387% above | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius/ulna | $547.40 | $782.00 | $122.33–$1,032.00 | 26% above | 30% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w/endoscope us | $1,734.60 | $2,478.00 | $612.16–$3,789.94 | 1% above | 30% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy | $1,734.60 | $2,478.00 | $612.16–$3,789.94 | 1% above | 30% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $1,499.40 | $2,142.00 | $612.16–$3,789.94 | 51% below | 30% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy | $1,499.40 | $2,142.00 | $612.16–$3,789.94 | 51% below | 30% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,499.40 | $2,142.00 | $612.16–$3,789.94 | 49% below | 30% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy | $1,499.40 | $2,142.00 | $612.16–$3,789.94 | 49% below | 30% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $1,161.30 | $1,659.00 | $474.11–$2,945.31 | 43% below | 30% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $1,161.30 | $1,659.00 | $474.11–$2,945.31 | 43% below | 30% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment | $5,169.50 | $7,385.00 | $1,626.15–$11,164.12 | 26% below | 30% |
| Cystoscopy with ureteral stent placement CPT 52332 Cysto w/insert ureteral stent | $5,169.50 | $7,385.00 | $1,626.15–$11,164.12 | 26% below | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $767.20 | $1,096.00 | $313.23–$2,208.44 | 72% below | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $767.20 | $1,096.00 | $313.23–$2,208.44 | 72% below | 30% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear both sides CPT 69436 Myringotomy bilateral | $1,633.80 | $2,334.00 | $666.85–$4,914.09 | — | 30% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening | $1,633.80 | $2,334.00 | $666.85–$4,914.09 | 73% below | 30% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Myringotomy left | $1,633.80 | $2,334.00 | $666.85–$4,914.09 | 73% below | 30% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Myringotomy right | $1,633.80 | $2,334.00 | $666.85–$4,914.09 | 73% below | 30% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create eardrum opening | $593.60 | $848.00 | $141.13–$1,708.13 | at median | 30% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Myringotomy with tubes | $593.60 | $848.00 | $141.13–$1,708.13 | at median | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rm impact ear wax irr/lav bil | $326.20 | $466.00 | $60.27–$1,032.00 | 86% above | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni | $326.20 | $466.00 | $60.27–$1,032.00 | 86% above | 30% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Rm impact ear wax irr/lav rt | $326.20 | $466.00 | $60.27–$1,032.00 | 86% above | 30% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Rm impact ear wax irr/lav lt | $326.20 | $466.00 | $60.27–$1,032.00 | 86% above | 30% |
| Earwax removal with instruments, one ear CPT 69210 Instrum rm impact ear wax bil | $837.20 | $1,196.00 | $60.27–$1,032.00 | 424% above | 30% |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni | $837.20 | $1,196.00 | $60.27–$1,032.00 | 424% above | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 Instrum rm impact ear wax lt | $837.20 | $1,196.00 | $60.27–$1,032.00 | 424% above | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 Instrum rm impact ear wax rt | $837.20 | $1,196.00 | $60.27–$1,032.00 | 424% above | 30% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Endoscopic w/ethmoidectomy bil | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | 15% below | 30% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl/sins ndsc w/tot ethmdct | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | 15% below | 30% |
| Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 Endoscopic w/ethmoidectomy lt | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | 15% below | 30% |
| Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 Endoscopic w/ethmoidectomy rt | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | 15% below | 30% |
| Endoscopic sinus surgery: opening the frontal sinus both sides CPT 31276 Nsl/sins ndsc frnt tiss rmv bi | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | — | 30% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sins ndsc frnt tiss rmvl | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | 23% above | 30% |
| Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nsl/sins ndsc frnt tiss rmv lt | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | 23% above | 30% |
| Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nsl/sins ndsc frnt tiss rmv rt | $14,131.60 | $20,188.00 | $2,301.13–$22,351.99 | 23% above | 30% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus both sides CPT 31256 Exploration maxillary sinus bi | $9,179.80 | $13,114.00 | $1,566.67–$11,808.21 | — | 30% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration maxillary sinus | $9,179.80 | $13,114.00 | $1,566.67–$11,808.21 | 3% above | 30% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Exploration maxillary sinus lt | $9,179.80 | $13,114.00 | $1,566.67–$11,808.21 | 3% above | 30% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Exploration maxillary sinus rt | $9,179.80 | $13,114.00 | $1,566.67–$11,808.21 | 3% above | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue both sides CPT 31267 Endoscopic sinus bi | $5,637.10 | $8,053.00 | $1,751.00–$22,351.99 | — | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus | $5,637.10 | $8,053.00 | $1,751.00–$22,351.99 | 40% below | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Endoscopic sinus rt | $5,637.10 | $8,053.00 | $1,751.00–$22,351.99 | 40% below | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Endoscopic sinus lt | $5,637.10 | $8,053.00 | $1,751.00–$22,351.99 | 40% below | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc | $878.50 | $1,255.00 | $358.74–$2,235.63 | 17% below | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Crv/thrc esi | $878.50 | $1,255.00 | $358.74–$2,235.63 | 17% below | 30% |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 Medial branch block bilateral | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | — | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | at median | 30% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Medial branch block left | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | at median | 30% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Medial branch block right | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | at median | 30% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $6,020.00 | $8,600.00 | $1,621.85–$20,503.52 | 68% below | 30% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn init 3-10cm redu | $6,020.00 | $8,600.00 | $1,621.85–$20,503.52 | 68% below | 30% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn init less 3cm redu | $6,020.00 | $8,600.00 | $1,621.85–$11,339.65 | 33% below | 30% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $6,020.00 | $8,600.00 | $1,621.85–$11,339.65 | 33% below | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy | $581.00 | $830.00 | $151.61–$2,945.31 | 72% below | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy | $581.00 | $830.00 | $151.61–$2,945.31 | 72% below | 30% |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr rt third digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr rt second digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr rt great toe | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr rt fourth digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr rt fifth digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr lt third digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr lt second digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr lt fourth digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr lt fifth digit | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hammertoe correction surgery one side CPT 28285 Hammertoe corr lt gr toe | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) | $728.00 | $1,040.00 | $190.57–$2,945.31 | 67% below | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Rubberbanding of hemorrhoids | $728.00 | $1,040.00 | $190.57–$2,945.31 | 67% below | 30% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group | $3,828.30 | $5,469.00 | $1,245.00–$8,790.92 | 33% below | 30% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy | $3,828.30 | $5,469.00 | $1,245.00–$8,790.92 | 33% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & drainage abscess | $271.60 | $388.00 | $81.21–$688.00 | 41% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess | $271.60 | $388.00 | $81.21–$1,032.00 | 41% below | 30% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Open inguinal hernia | $6,020.00 | $8,600.00 | $1,621.85–$11,339.65 | 31% below | 30% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $6,020.00 | $8,600.00 | $1,621.85–$11,339.65 | 31% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament | $250.60 | $358.00 | $29.14–$972.16 | 53% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Ischial tuberosity inj | $250.60 | $358.00 | $29.14–$972.16 | 53% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Injection major joint/bursa bi | $505.40 | $722.00 | $34.05–$972.16 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $505.40 | $722.00 | $34.05–$972.16 | 22% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Injection major joint/bursa rt | $505.40 | $722.00 | $34.05–$972.16 | 22% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Injection major joint/bursa lt | $505.40 | $722.00 | $34.05–$972.16 | 22% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Ischial tuberosity inj | $250.60 | $358.00 | $29.14–$972.16 | 41% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us | $250.60 | $358.00 | $29.14–$972.16 | 41% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us | $250.60 | $358.00 | $28.49–$972.16 | 15% below | 30% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee scope w/meniscus rpr | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 72% below | 30% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 72% below | 30% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 55% below | 30% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee scope | $3,721.20 | $5,316.00 | $1,518.96–$10,362.90 | 55% below | 30% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | 31% below | 30% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee scope/meniscectomy | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | 31% below | 30% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee scope/meniscectomy | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | 50% below | 30% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery | $5,520.20 | $7,886.00 | $1,518.96–$10,362.90 | 50% below | 30% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopic ing hernia | $8,286.60 | $11,838.00 | $2,705.53–$19,147.06 | 51% below | 30% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init | $8,286.60 | $11,838.00 | $2,705.53–$19,147.06 | 51% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/tr/ext | $520.10 | $743.00 | $185.33–$1,287.49 | 28% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $520.10 | $743.00 | $185.33–$1,287.49 | 28% below | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac | $878.50 | $1,255.00 | $358.74–$2,235.63 | 32% below | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Lesi | $878.50 | $1,255.00 | $358.74–$2,235.63 | 32% below | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Lesi | $1,132.60 | $1,618.00 | $472.82–$2,801.25 | 20% below | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac | $1,132.60 | $1,618.00 | $472.82–$2,801.25 | 20% below | 30% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Transforaminal block bi | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | — | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | 29% below | 30% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Transforaminal block lt | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | 29% below | 30% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Transforaminal block rt | $1,158.50 | $1,655.00 | $472.82–$2,801.25 | 29% below | 30% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec & foramot lumbar | $10,244.50 | $14,635.00 | $3,393.01–$22,981.48 | 30% below | 30% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Remove spine lamina 1 lmbr | $10,244.50 | $14,635.00 | $3,393.01–$22,981.48 | 30% below | 30% |
| Lumbar spinal fusion (posterior), one level CPT 22612 Lumbar spine fusion | $14,556.50 | $20,795.00 | $5,843.00–$55,532.13 | 81% below | 30% |
| Lumbar spinal fusion (posterior), one level CPT 22612 Arthrd pst tq 1ntrspc lumbar | $14,556.50 | $20,795.00 | $5,843.00–$55,532.13 | 81% below | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm< | $364.70 | $521.00 | $93.32–$2,242.76 | 84% below | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal lesion | $364.70 | $521.00 | $93.32–$2,242.76 | 84% below | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/< | $389.90 | $557.00 | $103.80–$2,242.76 | 47% below | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision soft tissue face mm | $389.90 | $557.00 | $103.80–$2,242.76 | 47% below | 30% |
| Partial knee replacement (one compartment) CPT 27446 Revision of knee joint | $32,496.10 | $46,423.00 | $5,843.00–$40,661.96 | 30% above | 30% |
| Partial knee replacement (one compartment) CPT 27446 Total knee (uni) | $32,496.10 | $46,423.00 | $5,843.00–$40,661.96 | 30% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed | $505.40 | $722.00 | $102.49–$1,287.49 | 27% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision nail matrix | $505.40 | $722.00 | $102.49–$1,287.49 | 27% below | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 Rfa lumbar bilateral | $2,199.40 | $3,142.00 | $897.79–$6,184.56 | — | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt | $2,199.40 | $3,142.00 | $897.79–$6,184.56 | 34% below | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 Rfa lumbar right | $2,199.40 | $3,142.00 | $897.79–$6,184.56 | 34% below | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 Rfa lumbar left | $2,199.40 | $3,142.00 | $897.79–$6,184.56 | 34% below | 30% |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $5,041.40 | $7,202.00 | $1,469.51–$12,400.74 | at median | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign body removal | $436.10 | $623.00 | $105.44–$1,287.49 | 29% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body | $436.10 | $623.00 | $105.44–$1,287.49 | 29% below | 30% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid | $8,286.60 | $11,838.00 | $2,705.53–$19,147.06 | 16% below | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $1,161.30 | $1,659.00 | $688.00–$2,945.31 | 38% below | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca screen not hi rsk ind | $1,161.30 | $1,659.00 | $688.00–$2,945.31 | 38% below | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $1,161.30 | $1,659.00 | $688.00–$2,945.31 | 32% below | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colon ca screen high risk ind | $1,161.30 | $1,659.00 | $688.00–$2,945.31 | 32% below | 30% |
| Septoplasty to straighten the nasal septum CPT 30520 Turbinate resectionsepto | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 68% below | 30% |
| Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 68% below | 30% |
| Short arm cast (elbow to hand) CPT 29075 Application of forearm cast | $236.60 | $338.00 | $57.96–$1,032.00 | 34% below | 30% |
| Short leg cast (below the knee) CPT 29405 Apply short leg cast | $211.40 | $302.00 | $50.10–$1,032.00 | 44% below | 30% |
| Short leg splint (calf to foot) CPT 29515 Application lower leg splint | $182.00 | $260.00 | $44.86–$1,032.00 | 25% below | 30% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery | $4,257.40 | $6,082.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder scope distal clavicle | $4,257.40 | $6,082.00 | $1,518.96–$10,362.90 | 70% below | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder scope ligmnt release | $4,257.40 | $6,082.00 | $3,953.30–$6,082.00 | 72% below | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery | $4,257.40 | $6,082.00 | $3,953.30–$6,082.00 | 72% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $271.60 | $388.00 | $204.98–$688.00 | 38% below | 30% |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx single lesion | $69.95 | $99.93 | $92.67–$1,287.49 | 85% below | 30% |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $69.95 | $99.93 | $92.67–$1,287.49 | 85% below | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/< | $527.10 | $753.00 | $134.25–$2,242.76 | 9% above | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision lesion | $527.10 | $753.00 | $134.25–$2,242.76 | 9% above | 30% |
| Skin tag removal, up to 15 tags CPT 11200 Removal skin tag up to 15 | $577.50 | $825.00 | $204.98–$688.00 | 104% above | 30% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15 | $577.50 | $825.00 | $204.98–$688.00 | 104% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr | $1,348.90 | $1,927.00 | $358.74–$2,235.63 | 32% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $271.60 | $388.00 | $204.98–$1,032.00 | 32% below | 30% |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp) | $7,187.60 | $10,268.00 | $2,471.23–$16,981.58 | 55% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential bx single lesion | $253.40 | $362.00 | $74.98–$1,287.49 | 38% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les | $253.40 | $362.00 | $74.98–$1,287.49 | 38% below | 30% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & adenoidectomy | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 52% below | 30% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 52% below | 30% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & adenoidectomy | $6,763.40 | $9,662.00 | $1,751.00–$18,748.96 | 9% above | 30% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $6,763.40 | $9,662.00 | $1,751.00–$18,748.96 | 9% above | 30% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy adult | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 44% below | 30% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils | $3,231.20 | $4,616.00 | $1,245.00–$10,500.54 | 44% below | 30% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy one-half <age 12 | $8,217.30 | $11,739.00 | $1,751.00–$18,748.96 | at median | 30% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils | $8,217.30 | $11,739.00 | $1,751.00–$18,748.96 | at median | 30% |
| Total knee replacement CPT 27447 Total knee | $23,840.60 | $34,058.00 | $5,843.00–$40,661.96 | 10% below | 30% |
| Total knee replacement CPT 27447 Total knee arthroplasty | $23,840.60 | $34,058.00 | $5,843.00–$40,661.96 | 10% below | 30% |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint | $34,279.70 | $48,971.00 | $6,067.00–$55,532.13 | 1% below | 30% |
| Total shoulder replacement CPT 23472 Total/reverse shoulder | $34,279.70 | $48,971.00 | $6,067.00–$55,532.13 | 1% below | 30% |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $2,006.20 | $2,866.00 | $819.05–$5,092.74 | 52% below | 30% |
| Trigger finger release surgery CPT 26055 Trigger finger release | $2,006.20 | $2,866.00 | $819.05–$5,092.74 | 52% below | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl | $505.40 | $722.00 | $27.51–$972.16 | 11% below | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd | $2,037.70 | $2,911.00 | $831.84–$6,077.46 | 36% below | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm | $2,037.70 | $2,911.00 | $831.84–$6,077.46 | 36% below | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd | $1,152.20 | $1,646.00 | $470.24–$2,872.55 | 62% below | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $1,152.20 | $1,646.00 | $470.24–$2,872.55 | 62% below | 30% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Egd | $1,717.80 | $2,454.00 | $470.24–$2,872.55 | 55% below | 30% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj | $1,717.80 | $2,454.00 | $470.24–$2,872.55 | 55% below | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare | $2,037.70 | $2,911.00 | $831.84–$6,077.46 | 48% below | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd | $2,037.70 | $2,911.00 | $831.84–$6,077.46 | 48% below | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion | $1,152.20 | $1,646.00 | $470.24–$2,872.55 | 57% below | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd | $1,152.20 | $1,646.00 | $470.24–$2,872.55 | 57% below | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd | $1,152.20 | $1,646.00 | $470.24–$2,872.55 | 51% below | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $1,152.20 | $1,646.00 | $470.24–$2,872.55 | 51% below | 30% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd w/transmural drain cyst | $4,563.30 | $6,519.00 | $1,751.00–$19,227.41 | 61% below | 30% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd | $4,563.30 | $6,519.00 | $1,751.00–$19,227.41 | 61% below | 30% |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 | $1,409.80 | $2,014.00 | $204.98–$1,309.10 | 376% above | 30% |
| Wart removal, up to 14 warts CPT 17110 Destruction skin lesion | $1,409.80 | $2,014.00 | $204.98–$1,309.10 | 376% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/< | $520.10 | $743.00 | $206.85–$1,287.49 | 33% below | 30% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul | $10,244.50 | $14,635.00 | $4,551.97–$22,981.48 | 6% above | 30% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Distal radius orif | $10,244.50 | $14,635.00 | $4,551.97–$22,981.48 | 6% above | 30% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://goshenhealth.com/uploads/PricingDocuments/47-5619052_Goshen-Health-Surgery-Center-LLC_standardcharges.csv